NPI 1104624535

Kayla Gordon, PAC

Practitioner Physician Assistant Butte, MT

Practice location

Address: 1307 Harrison Ave, Butte, MT 59701-4801
Phone: (406) 792-3001
Mailing address: 1081 Forestglen Dr, Bozeman, MT 59718-6667

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence MED-PAC-LIC-146532 (MT)

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Registry record

NPI: 1104624535
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Mar 2025
Record last updated: 3 Mar 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.